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Pine Belt Dermatology and Skin Cancer Center

MOHS-Micrographic Surgery Physician in Petal, MS · enumerated 2014 · authorized official Joy Moore, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497159453

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Belt Dermatology and Skin Cancer Center
Practice address 201 S Main St, Petal, MS, 39465
Phone (513) 267-3658
Enumeration date Oct 20, 2014
Last updated in NPPES Oct 20, 2014

Taxonomy & classification

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License 21178 (MS) Primary

Authorized official

Name Joy Moore
Title Office Manager
Phone (513) 267-3658

Other identifiers

Identifier Type State Issuer
09537875 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pine Belt Dermatology and Skin Cancer Center?
NPPES lists Joy Moore (Office Manager) as the authorized official for this organization.
What is the NPI number for Pine Belt Dermatology and Skin Cancer Center?
The NPI for Pine Belt Dermatology and Skin Cancer Center is 1497159453, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-20.